Answer this question truthfully
### Question: Who is at highest risk for Rheumatic fever ?
### Response: Rheumatic fever is common worldwide and is responsible for many cases of damaged heart valves. It is not common in the United States, and usually occurs in isolated outbreaks. The latest outbreak was in the 1980s.
Rheumatic fever mainly affects children ages 5-15, and occurs approximately 20 days after strep throat or scarlet fever.